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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KASMIRE BAO-TRAN M PHAM RN, NP STUDENT
NPI 1699690727
Family Medicine - Geriatric Medicine in Southfield, MI

Active since August 10, 2026
21885 S TULLER CT, SOUTHFIELD, MI 48076(248) 938-3386(248) 809-3696 Get Directions Write a Review

NPPES record added: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kasmire Bao-tran M Pham Rn, Np Student NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASMIRE BAO-TRAN M PHAM RN, NP STUDENT (NPI 1699690727) is an individual geriatric medicine provider in Southfield, Michigan, licensed in Michigan (4704325940) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1699690727
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameKASMIRE BAO-TRAN M PHAMCredential: RN, NP STUDENT
Location Address21885 S TULLER CTSouthfield, MI 48076-4836
Mailing Address21885 S Tuller CtSouthfield, MI 48076-4836 · (248) 938-3386 · Fax (248) 809-3696
Phone(248) 938-3386
Fax(248) 809-3696
Sole ProprietorYes
Enumeration DateAugust 10, 2026
NPPES CertifiedAugust 10, 2026
✔ NPI 1699690727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in MI · 4704325940
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
21885 S TULLER CT, Southfield, MI 48076
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A PLUS QUALITY HOME CARE, LLC
Assisted Living Facility (Assisted Living, Mental Illness)
21885 S TULLER CT
SOUTHFIELD, MI 48076
Oakland County (248) 938-3386
KASMIRE PHAM MANAGEMENT & CONSULTING
In Home Supportive Care
21885 S TULLER CT
SOUTHFIELD, MI 48076
Oakland County (248) 938-3386

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kasmire Bao-tran Pham's NPI number?

The NPI number for Kasmire Bao-tran Pham is 1699690727. It was assigned to this individual provider in the NPPES registry on August 10, 2026.

Where is Kasmire Bao-tran Pham located?

Kasmire Bao-tran Pham practices at 21885 S Tuller Ct, Southfield, MI 48076. The listed phone number is (248) 938-3386.

What is Kasmire Bao-tran Pham's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Kasmire Bao-tran Pham was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.